Ivan Kato Arinda, Quraish Sserwanja, Kassim Kamara, David Mukunya, Napyo Agnes, Nsubuga Edirisa Juniour, Nuwahereza Christinah, Anitah Kagali, Seungwon Lee
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Therefore, this study was conducted to estimate the prevalence of anemia and determine its associated factors among lactating women in Sierra Leone.</p><p><strong>Methods: </strong>The 2019 Sierra Leone Demographic and Health Survey (SLDH) data were used of which 1543 lactating women aged 15 to 49 years old had hemoglobin measurements. Multistage stratified sampling was used to select study participants and data were collected using validated questionnaires. Multivariate binary logistic regression was used to determine factors associated with anemia among lactating women in Sierra Leone.</p><p><strong>Results: </strong>The general prevalence of anemia among lactating women in Sierra Leone was 52.9% (95% CI = 50.9-55.8). Almost a quarter, 23.8% (95% CI = 22.1-26.3) of the lactating women had mild anemia, 27.4% (95% CI = 25.3-29.7) had moderate anemia and 1.7% (95% CI = 1.1-2.5) had severe anemia. The use of modern contraceptives (aOR = 1.64, 95% CI = 1.09-2.47), not being visited by a field worker in the past year (aOR = 1.51, 95% CI = 1.12-2.03) and being Muslim (aOR = 1.46, 95% CI = 1.11-1.91), were associated with higher odds of being anemic. Being given and having bought iron supplements during pregnancy (aOR = 0.46, 95% CI = 0.25-0.87) was associated with less odds of being anemic.</p><p><strong>Conclusion: </strong>More than half of the lactating mothers in our study were anemic. The risk factors for anemia in our study included: use of modern contraceptives, not being visited by a field worker in the past year and being Muslim. Receiving iron supplements during pregnancy was protective against anemia. According to the results from this study, the recommendation for lactating women was to maintain routine interface with the healthcare system which includes being visited by a field worker who should prescribe and issue iron supplements to them. Lactating women especially Muslims should receive routine nutrition education by the health workers at the health facilities during antenatal care visits or postnatal care in regard to anemia and means of prevention and treatment. Community stakeholders should also work in collaboration to establish scalable methods to correctly identify pregnant women with risk factors, inform them about anemia with caution, and apply appropriate measures as trained or instructed.</p>","PeriodicalId":19396,"journal":{"name":"Nutrition and Metabolic Insights","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/06/bb/10.1177_11786388221105732.PMC9208047.pdf","citationCount":"2","resultStr":"{\"title\":\"Anemia and Associated Factors Among Lactating Women in Sierra Leone: An Analysis of the Sierra Leone Demographic and Health Survey 2019.\",\"authors\":\"Ivan Kato Arinda, Quraish Sserwanja, Kassim Kamara, David Mukunya, Napyo Agnes, Nsubuga Edirisa Juniour, Nuwahereza Christinah, Anitah Kagali, Seungwon Lee\",\"doi\":\"10.1177/11786388221105732\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Anemia is a condition in which hemoglobin (Hb) concentration and/or red blood cell (RBC) numbers are lower than normal and insufficient to meet an individual's physiological needs. 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引用次数: 2
摘要
背景:贫血是一种血红蛋白(Hb)浓度和/或红细胞(RBC)数量低于正常水平且不足以满足个体生理需要的疾病。在撒哈拉以南非洲(SSA),包括塞拉利昂,育龄妇女贫血的发病率很高。然而,关于塞拉利昂哺乳期妇女贫血的数据很少。因此,本研究旨在估计塞拉利昂哺乳期妇女贫血的患病率,并确定其相关因素。方法:利用2019年塞拉利昂人口与健康调查(SLDH)的数据,对1543名15至49岁的哺乳期妇女进行血红蛋白检测。采用多阶段分层抽样方法选择研究对象,采用有效问卷收集数据。多变量二元logistic回归用于确定塞拉利昂哺乳期妇女贫血的相关因素。结果:塞拉利昂哺乳期妇女贫血的总体患病率为52.9% (95% CI = 50.9-55.8)。近四分之一,23.8% (95% CI = 22.1-26.3)的哺乳期妇女患有轻度贫血,27.4% (95% CI = 25.3-29.7)患有中度贫血,1.7% (95% CI = 1.1-2.5)患有严重贫血。使用现代避孕药具(aOR = 1.64, 95% CI = 1.09-2.47)、在过去一年中没有接受过现场工作人员的访问(aOR = 1.51, 95% CI = 1.12-2.03)以及是穆斯林(aOR = 1.46, 95% CI = 1.11-1.91)与贫血的高发生率相关。怀孕期间服用和购买铁补充剂(aOR = 0.46, 95% CI = 0.25-0.87)与贫血的几率较低相关。结论:本研究中半数以上的哺乳期母亲患有贫血。在我们的研究中,贫血的危险因素包括:使用现代避孕药具,在过去的一年中没有被现场工作人员访问过,是穆斯林。在怀孕期间补充铁可以预防贫血。根据这项研究的结果,对哺乳期妇女的建议是与卫生保健系统保持常规接触,包括由一名现场工作人员访问,他应该给她们开铁补充剂。哺乳期妇女,特别是穆斯林妇女,应在产前检查或产后检查期间接受保健机构保健工作人员关于贫血和预防和治疗方法的常规营养教育。社区利益攸关方还应合作建立可扩展的方法,以正确识别具有风险因素的孕妇,谨慎告知其贫血情况,并根据培训或指示采取适当措施。
Anemia and Associated Factors Among Lactating Women in Sierra Leone: An Analysis of the Sierra Leone Demographic and Health Survey 2019.
Background: Anemia is a condition in which hemoglobin (Hb) concentration and/or red blood cell (RBC) numbers are lower than normal and insufficient to meet an individual's physiological needs. The prevalence of anemia among women of reproductive age is high in Sub-Saharan Africa (SSA), including Sierra Leone. However, data on anemia among lactating women in Sierra Leone are scarce. Therefore, this study was conducted to estimate the prevalence of anemia and determine its associated factors among lactating women in Sierra Leone.
Methods: The 2019 Sierra Leone Demographic and Health Survey (SLDH) data were used of which 1543 lactating women aged 15 to 49 years old had hemoglobin measurements. Multistage stratified sampling was used to select study participants and data were collected using validated questionnaires. Multivariate binary logistic regression was used to determine factors associated with anemia among lactating women in Sierra Leone.
Results: The general prevalence of anemia among lactating women in Sierra Leone was 52.9% (95% CI = 50.9-55.8). Almost a quarter, 23.8% (95% CI = 22.1-26.3) of the lactating women had mild anemia, 27.4% (95% CI = 25.3-29.7) had moderate anemia and 1.7% (95% CI = 1.1-2.5) had severe anemia. The use of modern contraceptives (aOR = 1.64, 95% CI = 1.09-2.47), not being visited by a field worker in the past year (aOR = 1.51, 95% CI = 1.12-2.03) and being Muslim (aOR = 1.46, 95% CI = 1.11-1.91), were associated with higher odds of being anemic. Being given and having bought iron supplements during pregnancy (aOR = 0.46, 95% CI = 0.25-0.87) was associated with less odds of being anemic.
Conclusion: More than half of the lactating mothers in our study were anemic. The risk factors for anemia in our study included: use of modern contraceptives, not being visited by a field worker in the past year and being Muslim. Receiving iron supplements during pregnancy was protective against anemia. According to the results from this study, the recommendation for lactating women was to maintain routine interface with the healthcare system which includes being visited by a field worker who should prescribe and issue iron supplements to them. Lactating women especially Muslims should receive routine nutrition education by the health workers at the health facilities during antenatal care visits or postnatal care in regard to anemia and means of prevention and treatment. Community stakeholders should also work in collaboration to establish scalable methods to correctly identify pregnant women with risk factors, inform them about anemia with caution, and apply appropriate measures as trained or instructed.
期刊介绍:
Nutrition and Metabolic Insights is a peer-reviewed, open-access online journal focusing on all aspects of nutrition and metabolism. This encompasses nutrition, including the biochemistry of metabolism, exercise and associated physical processes and also includes clinical articles that relate to metabolism, such as obesity, lipidemias and diabetes. It includes research at the molecular, cellular and organismal levels. This journal welcomes new manuscripts for peer review on the following topics: Nutrition, including the biochemistry of metabolism, Exercise and associated physical processes, Clinical articles that relate to metabolism, such as obesity, lipidemias and diabetes, Research at the molecular, cellular and organismal levels, Other areas of interest include gene-nutrient interactions, the effects of hormones, models of metabolic function, macronutrient interactions, outcomes of changes in diet, and pathophysiology.